A nurse assists with the cardioversion of a client experiencing acute atrial fibrillation. Which action should the nurse take prior to the initiation of cardioversion?
a. Administer intravenous adenosine.
b. Turn off oxygen therapy.
c. Ensure a tongue blade is available.
d. Position the client on the left side.
ANS: B
For safety during cardioversion, the nurse should turn off any oxygen therapy to prevent fire. The other interventions are not appropriate for a cardioversion. The client should be placed in a supine position.
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During an assessment of an adult, the nurse has noted unequal chest expansion and recognizes that this occurs in which situation?
a. In an obese patient b. When part of the lung is obstructed or collapsed c. When bulging of the intercostal spaces is present d. When accessory muscles are used to augment respiratory effort
A patient with chronic pain tells the nurse that she "rarely sleeps more than 3 hours a night." The nurse recognizes that this patient is at risk for developing which health problem?
1. chronic insomnia 2. depression 3. high pain tolerance 4. adult attention deficit disorder
Which of the following facts is a drawback of the community empowerment model?
a. Bankers and other money people are very busy and often uninterested. b. Grants, although beautifully written, may not get funded. c. It is hard to persuade experts to volunteer their time. d. It is the slowest approach and takes the longest to obtain results.
A patient with PAD asks, "Why should I exercise when walking several blocks seems to make my leg cramp up?" What is the nurse's best response?
a. "Exercise may improve blood flow to your leg because small vessels will compensate for blood vessels that are blocked off" b. "This type of therapy is free and you can do it by yourself to improve the muscles in your legs" c. "The cramping will eventually stop if you continue the exercise routine. If you have too much pain, just rest for a while" d. "Exercise is a noninvasive nonsurgical technique that is used to increase arterial flow to the affected limb"